| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,826 |
2,699 |
$157K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,032 |
962 |
$82K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,686 |
3,504 |
$62K |
| V2755 |
U-v lens, per lens |
1,478 |
1,410 |
$62K |
| V2499 |
Variable sphericity lens, other type |
816 |
768 |
$52K |
| V2750 |
Anti-reflective coating, per lens |
501 |
475 |
$46K |
| 92015 |
Determination of refractive state |
3,980 |
3,783 |
$32K |
| V2020 |
Frames, purchases |
1,568 |
1,488 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,594 |
1,515 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
713 |
682 |
$12K |
| 92250 |
|
43 |
39 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
37 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$434.00 |